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Specialized Wrist Care
To Move You Forward

At Crescent City Orthopedics, our doctors are Louisiana natives who are passionate about helping each of their patients. We know that wrist injuries can make your everyday tasks difficult or impossible, which is why we proudly offer the latest treatments and personalized care plans for your wrist injuries and conditions so you can move past pain and get back to the life you love.

We take pride in the expertise our board-certified orthopedists provide for our patients at Crescent City Orthopedics. As dedicated, compassionate experts committed to providing you with specialized wrist care, our orthopedic wrist surgeons, Dr. Scott Buhler and Dr. John Cazale, are skilled experts in their field with decades of combined experience and training. Together, they make up a team committed to your recovery by offering the latest in orthopedic technology and procedures for all your needs.

Wrist Specialists in the Greater New Orleans Area

Committed to serving Metairie and the surrounding areas, our doctors work with you to deliver the high-level, specialized care you deserve. With their extensive training and years of experience, our wrist doctors are experts in the treatment of various wrist injuries and conditions, including carpal tunnel syndrome, sprains, and fractures.

Nonsurgical treatment options will be recommended first when developing an individualized treatment plan. These methods may include receiving physical therapy, wearing a brace, or taking over-the-counter medication. These nonsurgical approaches can reduce or even eliminate wrist pain.

If nonoperative care is not effective or becomes less effective over time, our wrist surgeons will discuss surgical options with you to help you determine which surgery is right for you. Our surgeons have the expertise and exceptional skills needed to perform the required surgery as well as access to the latest surgical equipment, which helps ensure the best outcomes possible.

Our surgeons are prepared to educate you and answer any questions you may have regarding your recommended surgical options.

  • Common Conditions

    With years of experience and orthopedic training, our wrist doctors assess, diagnose, and treat wrist injuries as well as other conditions that can develop in the wrist and hand, such as wrist fractures and De Quervain's tenosynovitis.

Bursitis

Symptoms

  • Swelling around the joint
  • Pain and tenderness when pressing on the affected area
  • Limited range of motion in the joint

Causes

  • Repetitive pressure or friction on the joint, such as leaning on hard surfaces, playing contact sports, and repetitive tasks
  • Direct trauma or impact to the joint, such as a fall or blow
  • Infection or inflammation of the bursa sac that cushions the joint

Carpal Tunnel Syndrome

Symptoms

  • Numbness, tingling, or even a burning sensation in the fingers, especially in the index, thumb, middle, and/or ring fingers
  • Weakness in the hand that makes it difficult to grip objects
  • Pain that extends from the wrist to the forearm

Causes

  • Repetitive use of the wrist or hand
  • Pressure on the median nerve in the wrist, which can be associated with arthritis, diabetes, pregnancy, and other overall health factors

De Quervain's Tenosynovitis

Symptoms

  • Pain and swelling near the base of the thumb
  • Difficulty moving the thumb and wrist
  • A sticking sensation when moving the thumb

Causes

  • Repetitive activities that involve twisting or gripping the wrist
  • Other health factors, such as rheumatoid arthritis, pregnancy, or breastfeeding

Dupuytren's Contracture

Symptoms

  • Development of lumps or nodes under the skin of the palm
  • Inability to fully straighten one or more fingers

Causes

  • Genetic factors
  • Age—this condition is most common in individuals over 50 years old
     

Sprain

Symptoms

  • Pain and swelling in the area
  • Difficulty moving or bearing weight on the affected joint

Causes

  • Twisting or turning a joint in an awkward way
  • Overuse of a joint, resulting in compromised ligaments
  • Participating in high-impact sports
  • Improper footwear or exercising on uneven surfaces

Treatment Options

  • Bracing/Splinting
  • Carpal Tunnel Release
  • De Quervain's Tendon Release
  • Fracture Fixation

Our experts offer a wide array of traditional treatment methods as well as state-of-the-art surgeries, including fracture fixation, carpal tunnel surgery, and arthroscopic repair.

  • Bracing/Splinting

    Bracing and splinting involve using a support or device to protect and stabilize the affected area, often reducing pain and improving function. It can be used as a primary treatment for some conditions, such as ankle sprains. Bracing and splinting may involve custom-made devices or off-the-shelf products, depending on the specific needs of the patient and the type of injury or condition being treated.

    Benefits

    • Provides support and stability to the affected area, limiting the risk of further injury or aggravation while reducing pain and stiffness
    • Can be used in conjunction with other treatments to improve outcomes
    • May help to prevent or delay the need for surgery in some cases
  • Carpal Tunnel Release

    In order to relieve pressure and reduce symptoms, the surgeon cuts ligament that is pressing on the median nerve in the wrist. Carpal tunnel release can be performed either through open surgery or endoscopic surgery, which involves the use of a small camera to guide the procedure through a smaller incision.

    Benefits

    • Improved hand function, including grip strength
    • Reduced pain, numbness, and tingling in the affected hand
    • Long-term relief of symptoms
  • De Quervain's Tendon Release

    To treat De Quervain’s tenosynovitis surgically, the surgeon makes a small incision at the base of the thumb to release the tendon sheath. This relieves pressure on the tendons and reducing pain and swelling. Surgery for De Quervain's can be performed as an open surgery or endoscopic surgery, with endoscopic surgery generally resulting in smaller incisions and a shorter recovery time.

    Benefits

    • Improved hand function and range of motion
    • Reduced pain and swelling in the affected area
    • High success rate in relieving symptoms and preventing recurrence
  • Fracture Fixation

    In some cases, casting alone is not sufficient to properly manage a fractured bone. Surgery for a fracture is known as fracture fixation. During the procedure, the surgeon realigns and stabilizes the broken bones using metal plates, screws, or rods. After the surgery, the patient typically wears a cast or brace and undergoes physical therapy exercises to regain strength and mobility in the affected area.

    Benefits

    • Restores proper alignment and stability to the bone or bones
    • Promotes healing
    • Reduces the risk of complications, such as chronic pain or deformity
Our Wrist Doctors

Scott A. Buhler, M.D.

Orthopedic Surgeon & Sports Medicine Specialist

Specialized Wrist Care When You Need It

Our doctors at Crescent City Orthopedics know that injuries can happen when least expected. We are proud to offer same-day appointments at our Metairie location for all your urgent bone, joint, and muscle needs. When you choose Crescent City Orthopedics, you choose our highly skilled experts who prioritize patient-focused care.

If you are suffering from wrist pain that is keeping you from the life you love, please call (504) 309-6500 or request an appointment online to get the care you need in Metairie or Chalmette.